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NURS 6630 Midterm Exam Psychopharmacologic Approaches to Treatment of Psychopathology latest update Walden University.docx

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NURS 6630 Midterm Exam Psychopharmacologic Approaches to Treatment of Psychopathology latest update Walden U

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NURS 6630 Midterm Exam Psychopharmacologic Approaches
to Treatment of Psychopathology latest update Walden
University.docx
Week 6 Midterm Exam d d d




• Question 1 d



1 out of 1 points
d d d d



During assessment a patient states “Why are you asking me about my heart, I am here formy
d d d d d d d d d d d d d d d d d


head”, the PMHNP’s best response is:
d d d d d d




Selected d D.
Answer: “Anxiety can cause cortisol levels to increase and when this happens
d d d d d d d d d d


d frequently it puts you at risk for comorbidities such as type 2 diabetes.”
d d d d d d d d d d d d




• Question 2 d



1 out of 1 points
d d d d



During gene expression, what must occur prior to a gene being expressed?
d d d d d d d d d d d




Selected d A.
Answers: Transcription factor must bind to the regulatory region within thecell’s
d d d d d d d d d d


nucleus.
d




• Question 3 d



1 out of 1 points d d d d




The PMNHP is assessing a 29-year-old client who takes antipsychotics that block
d d d d d d d d d d d



D2receptors. This client has begun to develop a common side effect of this medication.
d d d d d d d d d d d d d d d



What is this side effect?
d d d d d




Selected D. d



Answer: Tardive dyskinesia d




• Question 4 d



1 out of 1 points d d d d




After ordering flumazenil (Rumazicon) the PMHNP cautions the staff to monitor forwhich
d d d d d d d d d d d d



possible effect?
d d




Selected D. d



Answer: All of d


theabov
d d


e
• Question 5 d



1 out of 1 points
d d d d

, A patient is prescribed 50 mg of desvenlafaxine to take every other day for majordepressive
d d d d d d d d d d d d d d d


disorder. What does the PMHNP understand about this patient?
d d d d d d d d d




Selected d C.
Answer: The patient has severe
d d d


renalimpairment.
d d




• Question 6 d



1 out of 1 points
d d d d



A patient is prescribed sertraline to treat panic disorder. Knowing that sertraline
d d d d d d d d d d d


caninitially cause anxiety or insomnia, what should the PMHNP do?
d d d d d d d d d d d




Selected d B.
Answer: Prescribe short-acting benzodiazepine for 2 weeks, d d d d d


thendiscontinue.
d d




• Question 7 d



1 out of 1 points
d d d d



Though medications have the ability to target neurotransmitter release into the synapse by
d d d d d d d d d d d d



thepresynaptic neuron it is not always necessary. The PMHNP understands that this is because:
d d d d d d d d d d d d d d d




Selected d C.
Answer: Neurotransmitters can spread bydiffusion. d d d d




• Question 8 d



1 out of 1 points
d d d d



A patient is diagnosed with schizophrenia. What increases the patient’s potential tomediate
d d d d d d d d d d d d


the cognitive symptoms of the disease?
d d d d d d




Selected d A.
Answer: Achieving underactivity of the mesocorticol projections to d d d d d d


theprefrontal cortex
d d d




• Question 9 d



1 out of 1 points d d d d




The PMHNP spends a session with a client and notices behaviors correlating with a
d d d d d d d d d d d d d



potential manic episode. All of the following are possible manic symptoms the
d d d d d d d d d d d d



PMHNPcould observe except:
d d d d




Selected D. d



Answer: A low self esteem d d d




• Question 10 d



1 out of 1 points
d d d d



A patient who is prescribed MAO inhibitors asks about whether he can continue taking
d d d d d d d d d d d d d


pseudoephedrine to relieve his congestion. Which response by the PMHNP indicates
d d d d d d d d d d d


properunderstanding of drug-drug interactions?
d d d d d




Selected d D.
Answer: “Decongestants should be avoided due to risk d d d d d d


ofhypertensive crisis.”
d d d




• Question 11 d
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